- ICH GCP
- US Clinical Trials Registry
- Klinisk forsøg NCT01922310
Communication Regarding Organ and Tissue Donation in Intensive Care (COMFORT)
3. oktober 2017 opdateret af: NSW Organ and Tissue Donation Service
Communication With Families Regarding Organ and Tissue Donation After Death in Intensive Care Study
The overarching aim of this study is to examine the process of organ donation decision-making and to determine whether changes in requesting practices change rates of consent for donation, and other family-based outcomes.
Studieoversigt
Status
Afsluttet
Betingelser
Intervention / Behandling
Undersøgelsestype
Interventionel
Tilmelding (Faktiske)
417
Fase
- Ikke anvendelig
Kontakter og lokationer
Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.
Studiesteder
-
-
New South Wales
-
New Lambton Heights, New South Wales, Australien, 2305
- John Hunter Hospital
-
Sydney, New South Wales, Australien, 2145
- The Children's Hospital at Westmead
-
Sydney, New South Wales, Australien, 2065
- Royal North Shore Hospital
-
Sydney, New South Wales, Australien, 2010
- St Vincent's hospital
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Sydney, New South Wales, Australien, 2031
- Prince of Wales Hospital
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Sydney, New South Wales, Australien, 2217
- St George Hospital
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Sydney, New South Wales, Australien, 1871
- Liverpool Hospital
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Sydney, New South Wales, Australien, 2052
- Royal Prince Alfred Hospital
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Sydney, New South Wales, Australien, 2217
- NSW Organ and Tissue Donation Service
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Tweed Heads, New South Wales, Australien, 2485
- The Tweed Hospital
-
-
Deltagelseskriterier
Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.
Berettigelseskriterier
Aldre berettiget til at studere
- Barn
- Voksen
- Ældre voksen
Tager imod sunde frivillige
Ingen
Køn, der er berettiget til at studere
Alle
Beskrivelse
Inclusion Criteria:
- Donation events identified by a patient who is a potential organ and tissue donor in a participating ICU or under the care of ICU health professionals.
- For the primary endpoint only, patients must not have registered their donation wishes.
Exclusion Criteria:
- A patient who is not medically suitable for organ or tissue donation.
- A patient who does not have next of kin available to participate in donation conversations.
- A patient in the ICU who is able to provide first person consent for deceased donation, for example a patient with spinal injuries.
- A patient who is suitable to donate only tissue after death.
Studieplan
Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Sundhedstjenesteforskning
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
Våben og indgreb
Deltagergruppe / Arm |
Intervention / Behandling |
|---|---|
|
Andet: Communication intervention
This study uses a single arm design with current 'controls' to explore an intervention, the procedure for providing information and requesting consent for donation, that uses new agreed best practice procedures led by specially trained intensive care health professionals.
The study intervention is a staff education and training module intended to provide a framework and preparation for select critical care staff to conduct organ donation discussions in line with best practice.
|
The intervention is a modification of current standard practice procedures for requesting consent for donation. The intervention period commences when the possibility of organ donation is first raised with the family, and includes the time for families to make a decision. This time may last up to 72 hours. |
Hvad måler undersøgelsen?
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of families providing consent for deceased organ donation.
Tidsramme: Up to 72 hours subsequent to raising deceased donation with next of kin.
|
Final decision of either written or verbal consent or decline to deceased organ donation provided at the hospital.
|
Up to 72 hours subsequent to raising deceased donation with next of kin.
|
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Proportion of senior next of kin who report they regretted their final decision either to consent or to decline donation.
Tidsramme: 90 days post enrollment.
|
This outcome will be assesed using a telephone follow-up call.
|
90 days post enrollment.
|
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Health professionals' adherence rates to core elements of the intervention.
Tidsramme: Up to 72 hours subsequent to next of kin making their final donation decision.
|
This will be measured by observation and self-report at the hospital.
|
Up to 72 hours subsequent to next of kin making their final donation decision.
|
Samarbejdspartnere og efterforskere
Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.
Efterforskere
- Ledende efterforsker: Robert Herkes, NSW Organ and Tissue Donation Service
Publikationer og nyttige links
Den person, der er ansvarlig for at indtaste oplysninger om undersøgelsen, leverer frivilligt disse publikationer. Disse kan handle om alt relateret til undersøgelsen.
Generelle publikationer
- Potter JE, Perry L, Elliott RM, Aneman A, Brieva JL, Cavazzoni E, Cheng AT, O'Leary MJ, Seppelt IM, Herkes RG; COMFORT study investigators. Communication with Families Regarding Organ and Tissue Donation after Death in Intensive Care (COMFORT): a multicentre before-and-after study. Crit Care Resusc. 2018 Dec;20(4):268-276.
- Potter JE, Herkes RG, Perry L, Elliott RM, Aneman A, Brieva JL, Cavazzoni E, Cheng AT, O'Leary MJ, Seppelt IM, Gebski V; COMFORT study investigators. COMmunication with Families regarding ORgan and Tissue donation after death in intensive care (COMFORT): protocol for an intervention study. BMC Health Serv Res. 2017 Jan 17;17(1):42. doi: 10.1186/s12913-016-1964-7.
Datoer for undersøgelser
Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.
Studer store datoer
Studiestart (Faktiske)
1. maj 2013
Primær færdiggørelse (Faktiske)
8. juli 2016
Studieafslutning (Faktiske)
21. december 2016
Datoer for studieregistrering
Først indsendt
10. august 2013
Først indsendt, der opfyldte QC-kriterier
12. august 2013
Først opslået (Skøn)
14. august 2013
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
5. oktober 2017
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
3. oktober 2017
Sidst verificeret
1. oktober 2017
Mere information
Begreber relateret til denne undersøgelse
Andre undersøgelses-id-numre
- DR-01-2012
- ACTRN12613000815763 (Registry Identifier: Australian New Zealand Clinical Trials Registry (ANZCTR))
Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .
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